East Kentucky Oral & Maxillofacial Surgery, Psc
LBN: East Kentucky Oral & Maxillofacial Surgery, Psc
East Kentucky Oral & Maxillofacial Surgery, Psc is an health care organization with primary practice located at 387 Town Mountain Rd , Pikeville KY 41501-1640. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
East Kentucky Oral & Maxillofacial Surgery, Psc can be contacted via phone (606) 432-5983, or through Street, Chad Clifton via phone (606) 432-5983.
Contact Information
Primary practice address
387 Town Mountain Rd
Pikeville KY 41501-1640
Phone: (606) 432-5983
Fax: (606) 432-9474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7103 | Kentucky |
Profile Details
| NPI number | 1962414680 |
|---|---|
| LBN Legal business name | East Kentucky Oral & Maxillofacial Surgery, Psc |
| DBA Doing business as | |
| Authorized official | Street, Chad Clifton DMD, MD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 12th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962414680 | NPPES |
| Kentucky | MEDICAID | 60002300 | |
| Kentucky | MEDICAID | 64068414 |
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